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Rapid and ultrarapid opioid detoxification techniques

Article Abstract:

More and better research on rapid opioid detoxification is required to determine the clinical and cost-effectiveness of these techniques. Rapid detoxification uses naloxone and other opiate-blocking drugs to accelerate drug withdrawal, and some programs perform detoxification under anesthesia or sedation. These techniques may allow heroin and other opiate addicts rapidly to withdraw from the drugs and begin maintenance therapy, but they are expensive and carry some medical risk. Published studies have not adequately compared these techniques to other drug treatment methods.

Author: Kosten, Thomas R., O'Connor, Patrick G.
Publisher: American Medical Association
Publication Name: JAMA, The Journal of the American Medical Association
Subject: Health
ISSN: 0098-7484
Year: 1998
Health aspects, Methods, Prevention, Clinical trials, Drug withdrawal symptoms, Substance withdrawal syndrome, Narcotic antagonists

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Methadone Maintenance in Primary Care

Article Abstract:

Some heroin abusers can receive methadone in a primary care physician's office rather than a federally-licensed drug treatment center, according to a study of 46 heroin abusers. This would substantially increase the number of available treatment centers for heroin abusers and would help de-stigmatize drug addiction.

Author: O'Connor, Patrick G., Fiellin, David A., Chawarski, Marek, Pakes, Juliana P., Pantalon, Michael V., Schottenfeld, Richard S.
Publisher: American Medical Association
Publication Name: JAMA, The Journal of the American Medical Association
Subject: Health
ISSN: 0098-7484
Year: 2001
Innovations, Drug therapy, Methadone maintenance, Heroin habit

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Generalist Physicians and Addiction Care: From Turfing to Sharing the Turf

Article Abstract:

Some drug abusers may benefit from treatment plans based in a primary care physician's office rather than in a federally-licensed drug treatment center. Basing the treatment in a physician's office may de-stigmatize drug abuse and make it easier to offer drug abusers other medical services.

Author: Stein, Michael D., Friedmann, Peter D.
Publisher: American Medical Association
Publication Name: JAMA, The Journal of the American Medical Association
Subject: Health
ISSN: 0098-7484
Year: 2001
Editorial

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Subjects list: Care and treatment, Drug addicts, Drug abusers, Services, Physicians (General practice), General practitioners, Medical offices
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